HNO
-
Review Case Reports
[Atypical carcinoid of the larynx. Case report and review of literature].
With an incidence of over 90%, squamous carcinomas are the most frequent laryngeal malignancies. Laryngeal neuroendocrine tumors appear only in approximately 1%. These are aggressive tumours with a high rate of metastases. To date, no diagnosis or treatment guidelines have been established for this entity. ⋯ In atypical carcinoid tumours total resection as well as bilateral neck dissection should be performed, even in cN0 cases. In the presence of cervical lymph node metastases adjuvant radiotherapy is indicated.
-
The aim is to present a German-language electronic documentation system for the fiberoptic endoscopic evaluation of swallowing (FEES) in order to make routine swallowing diagnostics and therapeutic recommendations more effective and as initial confirmation of its suitability for daily use. ⋯ FEED shortens documentation time, improves report quality and has proven to be a practical instrument in making routine swallowing diagnostics and therapy more effective.
-
Case Reports
[First clinical experience with a moderately bent laryngoscope for endolaryngeal surgery].
In this article we describe the successful use of a moderately bent laryngoscope in two different patient cases. ⋯ We present two cases in which insertion of a conventional straight laryngoscope was not possible due to anatomical reasons. However, the operations could be performed successfully with the bent laryngoscope.
-
Fatigue is a common problem in patients suffering from multiple sclerosis (MS). The presented case demonstrated concomitant severe central sleep apnea. Selection of the optimal ventilation modus was complex but proved successful. Given that daytime sleepiness is a frequent symptom in MS patients and that effective treatment options are available, sleep apnea should be considered and further classified by polysomnography in order to improve patients' quality of life.